早期干预对早产儿脑性瘫痪发生的影响

目的探讨早期干预对降低早产儿脑性瘫痪(CP)发生的作用。方法2003年1月至2008年12月在三门峡市中心医院出生的450例早产儿,按家长意愿分为早期干预组(干预组)230例和常规育儿组(常规组)220例,2组早产儿出生后住新生儿重症监护病房给予保暖、静脉营养、预防感染、必要时给予吸氧等预防各种早产儿并发症常规治疗;常规组出院后接受常规育儿指导,不进行早期干预;干预组自出院开始,除接受常规育儿指导外,还进行早期干预,并重点进行按摩和主动运动训练,出现运动异常者做相应康复训练。结果1岁时,干预组发生CP 2例(0.87%),常规组发生CP 14例(6.36%),干预组CP发生率明显低于常规组,差异有统计学意义(P<0.05)。随访至2岁,干预组2例CP均属于轻度,常规组14例CP中7例为轻度,5例为中度,2例为重度。结论早期干预可降低CP发生率。

Effect of early intervention on reducing the occurrence of cerebral palsy in premature infants

Objective To study the effect of early intervention on the occurrence of cerebral palsy in premature infants to reduce the role. Methods From January, 2003 to December, 2008 in Sanmenxia City Central Hospital, 450 eases of hospital-born premature infants were divided into early intervention group （230 eases） and routine child-care group （220 cases） under the willingness of their parents. After their birth the premature infants of the two groups stayed in the neonatal intensive care unit, given conventional treatments to prevent complications, such as keeping warm, intravenous nutrition, prevention of infection, and if necessary oxygen inhalation. The conventional group were given routine post-discharge parental guidance without early intervention, while the intervention group, right from discharging from the hospital, were given not only routine post-discharge parental guidance but also early intervention along with massage and active exercise training in which the relevant restoring exerieises would be done when any motion abnormalities appeared. Results At the age of 1,2 cases（O. 87% ） of CP appeared in the intervention group,while 14 cases（6.36% ） of CP appeared in the conventional group. The incidence rate of CP in the intervention group was much lower than that in the conventional group （ P 〈 0. 05 ）. Following-up to the age of 2, in the intervention group 2 cases of CP were mild, but in the conventional group,7 of the 14 eases were mild,5 were moderate, and 2 were severe. Conclusion Early intervention can reduce the incidence of cerebral palsy in premature infants.